Protective and Therapeutic Effect of Platelet-Rich Plasma on Experimental Cisplatin Ototoxicity

Objective:Cisplatin is a chemotherapeutic agent with an ototoxic effect that is frequently used in head and neck cancers. There are studies in the literature conducted with various antioxidant substances to protect and/or prevent ototoxicity. This study aims to investigate whether platelet-rich plas...

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Main Authors: Bahadır Gözaydın, Asude Ünal, Doğukan Özdemir, Ayşe Çeçen, Mustafa Bakırtaş
Format: Article
Language:English
Published: Galenos Yayincilik 2023-06-01
Series:Turkish Archives of Otorhinolaryngology
Subjects:
Online Access: http://turkarchotolaryngol.net/archives/archive-detail/article-preview/protective-and-therapeutic-effect-of-platelet-rich/62114
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author Bahadır Gözaydın
Asude Ünal
Doğukan Özdemir
Ayşe Çeçen
Mustafa Bakırtaş
author_facet Bahadır Gözaydın
Asude Ünal
Doğukan Özdemir
Ayşe Çeçen
Mustafa Bakırtaş
author_sort Bahadır Gözaydın
collection DOAJ
description Objective:Cisplatin is a chemotherapeutic agent with an ototoxic effect that is frequently used in head and neck cancers. There are studies in the literature conducted with various antioxidant substances to protect and/or prevent ototoxicity. This study aims to investigate whether platelet-rich plasma (PRP) has a protective and therapeutic effect on cisplatin ototoxicity.Methods:A total of 40 Sprague Dawley albino rats were divided into six groups as control group (n=6), PRP-only group (n=6), cisplatin group (n=6), cisplatin + PRP group (n=6), PRP + cisplatin group (n=6), and donor group (n=10). At the beginning of the study and the 8th day, they were tested with distortion product otoacoustic emission (DPOAE). Assessment of DPOAE results was based on the signal-to-noise ratio in 2000, 3000, 4000, 6000, and 8000 Hz frequency bands. On the 8th day, the rats were sacrificed. For histological examinations, the temporal bones were dissected and fixed. After hematoxylin and eosin staining, the tissues were evaluated by light microscopy.Results:In the DPOAE tests performed on the 0th and 8th days of the cisplatin group, it was observed that cisplatin caused hearing loss in the rat ears. It was determined that the cisplatin group at 2000 Hz, 3000 Hz and 4000 Hz had a significant decrease in hearing compared to all groups (p<0.015), while the cisplatin group at 6000 and 8000 Hz was characterized by hearing loss at a higher rate than all groups (p<0.001). At the end of the study, negative effects of cisplatin on both cellular dimensions (cytoplasmic vacuolization, cell degeneration, dilatation, apoptotic cells, nerve degeneration) and hearing function were observed. No protective or therapeutic effect of PRP on cisplatin ototoxicity was observed.Conclusion:Our study showed that platelet-rich plasma did not have a significant effect in the treatment of hearing loss due to cisplatin ototoxicity and in preventing hearing loss in rats.
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spelling doaj.art-68ca0faf733c4ff7836283ddb7ff3e122023-09-18T12:46:13ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742023-06-01612758210.4274/tao.2023.2022-7-913049054Protective and Therapeutic Effect of Platelet-Rich Plasma on Experimental Cisplatin OtotoxicityBahadır Gözaydın0Asude Ünal1Doğukan Özdemir2Ayşe Çeçen3Mustafa Bakırtaş4 Clinic of Otorhinolaryngology, Ünye State Hospital, Ordu, Turkey Department of Otorhinolaryngology, University of Health Sciences, Samsun Training and Research Hospital, Samsun, Turkey Department of Otorhinolaryngology, Samsun University Faculty of Medicine, Samsun, Turkey Department of Otorhinolaryngology, Samsun University Faculty of Medicine, Samsun, Turkey Department of Pathology, University of Health Sciences, Samsun Training and Research Hospital, Samsun, Turkey Objective:Cisplatin is a chemotherapeutic agent with an ototoxic effect that is frequently used in head and neck cancers. There are studies in the literature conducted with various antioxidant substances to protect and/or prevent ototoxicity. This study aims to investigate whether platelet-rich plasma (PRP) has a protective and therapeutic effect on cisplatin ototoxicity.Methods:A total of 40 Sprague Dawley albino rats were divided into six groups as control group (n=6), PRP-only group (n=6), cisplatin group (n=6), cisplatin + PRP group (n=6), PRP + cisplatin group (n=6), and donor group (n=10). At the beginning of the study and the 8th day, they were tested with distortion product otoacoustic emission (DPOAE). Assessment of DPOAE results was based on the signal-to-noise ratio in 2000, 3000, 4000, 6000, and 8000 Hz frequency bands. On the 8th day, the rats were sacrificed. For histological examinations, the temporal bones were dissected and fixed. After hematoxylin and eosin staining, the tissues were evaluated by light microscopy.Results:In the DPOAE tests performed on the 0th and 8th days of the cisplatin group, it was observed that cisplatin caused hearing loss in the rat ears. It was determined that the cisplatin group at 2000 Hz, 3000 Hz and 4000 Hz had a significant decrease in hearing compared to all groups (p<0.015), while the cisplatin group at 6000 and 8000 Hz was characterized by hearing loss at a higher rate than all groups (p<0.001). At the end of the study, negative effects of cisplatin on both cellular dimensions (cytoplasmic vacuolization, cell degeneration, dilatation, apoptotic cells, nerve degeneration) and hearing function were observed. No protective or therapeutic effect of PRP on cisplatin ototoxicity was observed.Conclusion:Our study showed that platelet-rich plasma did not have a significant effect in the treatment of hearing loss due to cisplatin ototoxicity and in preventing hearing loss in rats. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/protective-and-therapeutic-effect-of-platelet-rich/62114 ototoxicityhearing losscisplatinotoacoustic emissionsplatelet-rich plasmaanimal experimentation
spellingShingle Bahadır Gözaydın
Asude Ünal
Doğukan Özdemir
Ayşe Çeçen
Mustafa Bakırtaş
Protective and Therapeutic Effect of Platelet-Rich Plasma on Experimental Cisplatin Ototoxicity
Turkish Archives of Otorhinolaryngology
ototoxicity
hearing loss
cisplatin
otoacoustic emissions
platelet-rich plasma
animal experimentation
title Protective and Therapeutic Effect of Platelet-Rich Plasma on Experimental Cisplatin Ototoxicity
title_full Protective and Therapeutic Effect of Platelet-Rich Plasma on Experimental Cisplatin Ototoxicity
title_fullStr Protective and Therapeutic Effect of Platelet-Rich Plasma on Experimental Cisplatin Ototoxicity
title_full_unstemmed Protective and Therapeutic Effect of Platelet-Rich Plasma on Experimental Cisplatin Ototoxicity
title_short Protective and Therapeutic Effect of Platelet-Rich Plasma on Experimental Cisplatin Ototoxicity
title_sort protective and therapeutic effect of platelet rich plasma on experimental cisplatin ototoxicity
topic ototoxicity
hearing loss
cisplatin
otoacoustic emissions
platelet-rich plasma
animal experimentation
url http://turkarchotolaryngol.net/archives/archive-detail/article-preview/protective-and-therapeutic-effect-of-platelet-rich/62114
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AT asudeunal protectiveandtherapeuticeffectofplateletrichplasmaonexperimentalcisplatinototoxicity
AT dogukanozdemir protectiveandtherapeuticeffectofplateletrichplasmaonexperimentalcisplatinototoxicity
AT aysececen protectiveandtherapeuticeffectofplateletrichplasmaonexperimentalcisplatinototoxicity
AT mustafabakırtas protectiveandtherapeuticeffectofplateletrichplasmaonexperimentalcisplatinototoxicity